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1568802569
KENNETH MICHAEL KNAPP
POCATELLO, ID
NPI
1568802569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID RNA-878A)
Enumeration Date
2013-07-05
Last Update Date
2013-10-03
Business Address
Mr. KENNETH MICHAEL KNAPP CRNA
333 N 18TH AVE STE A
POCATELLO, ID 83201-3358
Phone number: 208-232-7760
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Mailing Address
Mr. KENNETH MICHAEL KNAPP CRNA
PO BOX 4107
POCATELLO, ID 83205-4107
Phone number: 208-232-7760
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